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022-1018-50-000
` PAZ 410MOINAL Wisconsin Department of Commerce SOIL EVALUATiIIN REPORT Page I of -L Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 812 x 11 inches In'hize. Plan must county S include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. (V '20 _ 10 90 - ® o v • /O Please print all lnformatlo view Date Porso" Infonnadon you provide may be used tors 9IR 13.64 ) (m)). I'U'7'L- ^ / 112 Property Owner Property tion 1) 1~ r7 1/4 S T a N R I B E (or) W e a y r E ` z Atz nQ is t 6 t . Lot S F 1/4 Property Owner's Mailing Address # Iodc # Subd. Name or CSM# 41 Q ST~ gT. GRO% ~ - ~D S city State Tip Code Phon City ❑ Village ® Town Nearest Road 5941L 15 - 9 V-U IV ' 1 - c w t° rq 1 New Construction Use: q Residential / Number of bedrooms_ Code derived design flow rate 4 50 GPD ❑ Replacement ❑ Public or commercial - Describe: Paront material W c.,a" ej L ~ VY,e STyki P, Flood Plain elevation if applicable N A ft General comments INSTALL 4 ~N 112.5 CELL 19 A. MOUND W 1 T N M 1 U, OF 1,G6' and recornmendationv.- OF A PP R OV FV SA N P FJ L Boring # Boring a ® pit Ground surface elev. a,, q ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 n it I O- L 2m a,bk m)' r C5 V+ O L0 FSL &I Ct~ 0,9 0 -3 11,-d -5YR VA C z Z 7 m6bk rn y- 6 ,2. D, -5 VE Ong C] Boring ® pit Ground surface elev. 9 ft. Depth to limiting factor I g in. Soo plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Etfi#2 0-$ l0 K 312- 5 a math r C s 10 0, O, `l 16 Y F5L mabk r 0 0. Effluent #1 = BOD > 30:S 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BOO < 30 mg& and TSS < 30 mg/L CST Name (Please Print) Ignature T Number Cat P 27S® ~J Address Date Evaluatio Conducted Telephone Number R 05 r7)Ja 'G tUGy Fa115 OT ,lev'L 715-4,->5-71, 0 Parcel ID # B aa_ p 1 `so Q o 6 Page 2 of 3 Property Owner Ta.m es i ELIx t►tic.~a ® Swing # c❑7! Boring 112- J ~ Lyon Rim I pit Ground surface elev. R. Depth to limding factor 11(x_ In Horizon Cep1h Oaminant W Redox Description Texture Structure Consistence Boundary Roots OPC1ff 'E fn. Munsell Cu. Sz Cont. Color Gr. SL Sh. 'Etf1OEM i DYE IL -7 3 2 m ~r v~ D L b IL rh Li , 9 9-/6 3 InYa1 3 - 3/Z- C- A a,5 SC { Swing F # O Boring G Pit Ground surface alav. _ it. Depth to firrrting factor In. Solt Rate Horizon Depth Dominant Co Redox Descr+ntton Texttue Struchue Consistence Bouuxiary Rooms GPDIff OEM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ethf<1 I I i F-1 Being # a Boring Ground surface elev. Depth to limiting factor in. ❑ pit SON Application Rate Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots P In. Munsell Cu. SL Cont Cobr Gr. Sz. Sh. 'EffNi 'Effk2 Y 1 Effluent #1 = BODs > 30 1220 mg1L and TS5 >30:5 150 mg1L ' Effluent #2 = 800, 130 mg1L and TSS 130 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOC•9330 tRA,%l __,AMYSa,ELAINE RAC( P 3 OF 3 -PLOT PLAN _ _40AC PARCEL SEVq NW 57 T29k R 16 W. 5CAL E1"146*' T., i Bl i 2 IFADED NAIL IN WOOD P057 -.6 ABOVE GRbDE ASSUME El 106.00' M#?- 70P I' PVG 9"ABOVE GRADE AT STEEL. POST EL. 93,9 w © 40 ti # o 82 o 9 Parcel 022-1018-50-000 04/13/2011 12:09 PM PAGE 1 OF 1 Alt. Parcel 07.28.18.104 022 - TOWN OF KINNICKINNIC Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - RAY, JAMES A JR & ELAINE A JAMES A JR & ELAINE A RAY 471 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 7 T28N R18W SE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2011 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/07/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 20,000 0 20,000 NO AGRICULTURAL G4 36.000 5,800 0 5,800 NO UNDEVELOPED G5 3.000 4,500 0 4,500 NO Totals for 2011: General Property 40.000 30,300 0 30,300 Woodland 0.000 0 0 Totals for 2010: General Property 40.000 30,300 0 30,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPQ MNTOF REPORT ON SOIL BORINGS 7 '9 , FETY & BUILDINGS IND ' BY, tS~ DIVISION P.O. BOX 7969 LAB aND PERCOLATION TESTS (11 DISON, WI 53707 HUMAN RELATIONS C~ (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT k~}!. BLK. LION ME: / W1 -7 /TFJA/R i B E ( ) W COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: USE DATES OB V ADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILEDESCRIPTIONS: ER LA ION TESTS: Residence 3 ®New ❑ Replace i L- `p - 8'Z Z--Q~Z RATING: S= Site suitable for system U= Site unsuitable for system G TANK: RECOMti1ENDED SYSTEM: (optional) t,r't CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: jSYSTffM-I N-F I L LIHOLD-1-N- ~ERr _ _ so\ -S w H\Vti G x.~r>~ Q ❑ S 171U M S E] ®U S ZU] ❑ S EU_ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the U f~ under s.H63.09(5)(b), indicate: - - Floodplain, indicate Flooaplain elevation: / PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-HEST CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 9L ELEVATION OBSERVED EST. HIG TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) tti(OT. ~ - B- , 5.17' °10.50 Z. r'3`3 C~.-15 .fi2'DKS~~ s;\~•s.~ 3-~',Y.Bu s ~'=~5`RON UECV,~st~L+~; ' rr,vr. Q B-Z 4.'~3°~4.t35 z.~5~ p.~5` .1sa,~s:\~.s.~ Z.zS'~(gNs:~.; \.'s'~'RC3w~K~t~•.s,~. B- 3 1D.33~ 9ln :l0 ¢.75 L.S~ .101 `3w~St1-~•S. ~ 1.~1Z -I g^, S\\j Z.oa RCi s,L~~a.~)~ .(ol~ Rd 3tL w~~ B- 4- 4 TZ 0\1 ADS 1 'tau S:\T.S; Z": S,\ 3.25"F at, NEav t 5tL . B- _t 7_~ ¢,4-Z" OlB.tS, 3.83 3 ZS~ ~`C JSotT_S~ Ciw Z•4Z'Ra...tt~v~ SQL. 1 B 5.58 11~3.Z4' ocn~E 7 5•SS 3.~3 9BN r~cav~t sr`. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-142HES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER PER INCH P- Z ZA t ` ~C7 3~ l ~~i r' I 31.8 P- 3 ZA' 130 30 z 3/I~0 3/,~ 3 4 n P " w P- a P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface e1e'vation at all borings and the direction and percent ( of land slope. rro.• F . S SCAL- Is Q';1 ~o--~ o~ 3~~ ~~EV SYSTEM ELEVATION r_.__ -j----1 - - OF'Tli~ 3~1G•bf~ SE%,4 SC `7~ % e y.~1 Tio qE 3oo'tiwsTl ^r -z- i 9 SYSTEr~. 'a~EF~_. t33 _ . T~~~swC-t~a-NcyRCK-3,hoE~ ~ i I I • cERatz' v•~do.oo i , 4 N- ~L i i 93 I 3 ct I 1 r . i - OVLE O4- I I G I D6 I S --1-_L._ 1 1-1__.~ SCALE l 40 ExCF-PT P SwOwVZ SEC_ •-1 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS W ARE COMPLETED ON: J AmE.s xxN \ Z- ~o - `a-Z_ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 4-Z1 tJ. MEN\~1 R\V~.CZ ~~~5 ~ S~oZ2 3Z-1v~ ~ls'4ZS-9381 . GUATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD•6395 (R. 02/82) - OVER -